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Application for Funding Assistance <br /> Florida Department of Law Enforcement <br /> Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program <br /> Please read instructions before completing this application . <br /> • The term "Department", unless otherwise stated , refers to the Department of Law Enforcement. <br /> • The term "OCJG" refers to the Office of Criminal Justice Grants . <br /> • The term "subgrant recipient" or "subgrantee" refers to the governing body of a city, county, state agency, or an <br /> Indian Tribe that performs criminal justice functions as determined by the U .S . Secretary of the Interior. <br /> • The term "Implementing agency" is a subordinate agency of a city, county, state agency, or Indian Tribe , or an <br /> agency under the direction of an elected official (for example , Sheriff or Clerk of the Court). It may also bean entity <br /> eligible to be a subgrantee (ex. City of Live Oak) <br /> • Instructions are incorporated in this document by reference. <br /> A. Subgrant Data <br /> 1 . This section to be completed by Subgrantee 2. This section to be completed by OCJG <br /> Continuation of Previous Subgrant? Yes X No Project ID # Program Area #: CFDA M 16. 579 <br /> If Yes , enter CJ Contract # of Previous Subgrant <br /> SFY 2004 CJ Contract # SFY 2005 CJ Contract # <br /> 2005 - CJ - <br /> B. Applicant Information <br /> 1 . Subgrant Recipient (Subgrantee <br /> Name of Subgrant Recipient (Unit of Government): Indian River County, Board of <br /> County Commissioners County <br /> Name of Chief Elected Official / State Agency Head : Arthur R. Neuberger <br /> Title: Chairman Indian River <br /> Address 1840 25" St Area Code / Phone # <br /> 772-567-8000 x1490 <br /> City, County, State, Zip Code: Vero Beach , Indian River, FI 32960-5965 <br /> E-mail Address: neuberger(cDircgov. com Area Code / Fax # <br /> 772-770-5334 <br /> 2. Chief Financial Officer of Subgrant Recipient (Subgrantee) <br /> Name of Chief Financial Officer: Diane Bernardo County <br /> Title: Finance Director Indian River <br /> Address : 1840 251" St Area Code / Phone # <br /> 772-567-8000 x 201 <br /> City, County, State, Zip Code: Vero Beach , Indian River, FI 32960-5965 SUNCOM # <br /> E-mail Address: dbernardo@clerk.indian-river.org Area Code / Fax # <br /> 772-770-5331 <br /> 3. Implementing Agency <br /> Name of Implementing Agency: Indian River County Sheriff's Office <br /> Name of Chief Executive Official / State Agency Head / Subgrantee representative County <br /> (if a subordinate agency of the subgrant recipient): Roy Raymond <br /> Title: Sheriff Indian River <br /> Address: 4055 4151 Avenue Area Code / Phone # <br /> 772-978-6404 <br /> City, County, State, Zip Code: Vero Beach , Indian River, FI 32960 SUNCOM # <br /> E-mail Address: rraymond@iresheriff.org Area Code / Fax # <br /> 772-569-8144 <br /> FDLE Byrne Formula Grant Application Package Grant Application <br /> _ Section II -Page 2 <br /> Rule 11 D-9.006 OCJG — 005 (rev. April 2004) <br />